Characterizing Cancer and Work Disparities Using Electronic Health Records.
Characterizing Cancer and Work Disparities Using Electronic Health Records.
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DOI：
10.3390/ijerph192315887
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发表时间：
2022-11-29
影响因子：
--
通讯作者：
Amick, Benjamin C.
中科院分区：
文献类型：
--
作者：
Allen, Jaimi L.;Du, Ruofei;Powell, Thomas;Hobbs, Khariana L.;Amick, Benjamin C.
癌症诊断和治疗的进步改善了幸存者的预后;然而，癌症幸存者更有可能经历不利的就业结果，如失业、工作时间减少和提前退休。本研究的目的是探讨癌症幸存者之间的就业差距。我们的研究收集了2015年至2021年期间29，136名癌症幸存者（年龄18-65岁）的数据，使用电子健康记录（EHR）并与癌症登记数据相关联。在那些有就业信息的人（n = 7296）中，按种族、民族、性别、地理、婚姻状况、教育、年龄和癌症部位探讨了就业状况的差异。在有就业状况的患者中，61%有工作，28%没有工作，9%残疾，2%退休。Logistic回归结果显示调整后的影响：就业和婚姻之间的正相关，而种族和少数民族的成年人，农村，和某些年龄段的人不太可能被雇用。未经调整的结果显示，就业和教育之间存在正相关。这些结果有助于一个新兴的文学机构显示不利的就业结果癌症幸存者。
Advancements in cancer diagnosis and treatment have resulted in improvements in survivor outcomes; however, cancer survivors are more likely to experience adverse employment outcomes such as job loss, reduced working hours, and early retirement. The purpose of this study was to examine employment disparities among cancer survivors. Our study collected data from 29,136 cancer survivors (ages 18–65) between 2015 and 2021 using electronic health records (EHR) and linked to cancer registry data. Of those with employment information (n = 7296), differences in employment status were explored by race, ethnicity, sex, geography, marital status, education, age, and cancer site. Of the patients with employment status available, 61% were employed, 28% were not employed, 9% were disabled, 2% were retired. Logistic regression results revealed adjusted effects: a positive association between employment and marriage, while racial and ethnic minority adults, rurality, and certain age categories were less likely to be employed. Unadjusted results showed a positive association between employment and education. These results contribute to an emerging body of literature showing adverse employment outcomes for cancer survivors.
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